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病案管理是医院科学化管理的重要组成部分。随着《医疗事故处理条例》的实施,对医院病案工作提出了更高的要求,为了使病案更好地为临床、教学、科研服务,为解决医疗纠纷、事故、劳动鉴定伤害案件、保险等提供重要的法律文字依据,通过制定完善的管理制度,不断提高管理人员的业务素质和医师病历书写水平,从而提高病案管理质量,充分利用病案的实用价值,发挥其应有的作用。
Medical record management is an important part of the scientific management of the hospital. With the implementation of the “Medical Accident Disposal Ordinance”, the hospital medical record put forward higher requirements. In order to make the medical record better for clinical, teaching and research services, in order to solve medical disputes, accidents, labor appraisal injury cases, insurance and so on Provide an important basis for legal writing, and improve the professional quality of management staff and physician medical record writing through the establishment of a sound management system so as to improve the quality of medical record management, make full use of the practical value of medical records, and play its due role.